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Implications of Vision Loss in the Elder Population
Laura Vittorioso, M.Ed, CVRT, CLVT Samantha Green, MA, CVRT
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Demographics Expected increase of vision loss in elders.
More than 20 million report significant vision loss. Approximately 40,000 Mainers report significant vision loss.
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Definitions Visually Impaired Legal Blindness Low Vision
Total Vision Loss
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Common Eye Conditions Age-Related Macular Degeneration Glaucoma
Diabetic Retinopathy Head Injuries or Strokes
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Secondary Disabilities
Arthritis Hearing Impairment Heart Disease Diabetes Dementia
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Multidisciplinary Approach
Vision Rehabilitation specialists Ophthalmologists Low Vision Specialists Occupational Therapy Physical Therapy Agencies on Aging
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Independent Living Services
The Iris Network contracts with The Division for the Blind and Visually Impaired to provide vision rehabilitation to older people. 12
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Certified Vision Rehabilitation Therapist (CVRT)
Evaluates, instructs and guides persons with visual impairments to utilize adaptive skills 13
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Certified Orientation and Mobility Instructor (COMS)
Provides instruction and assists in the goal of being a safe and independent traveler. 14
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Personal Adjustment Counselor (LCSW)
Helps individuals with the emotional adjustment resulting from vision loss. 15
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Computer Access Specialists
Evaluates and instructs adults who are visually impaired in assistive technology. 16
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Eye specialists who evaluate and recommend optical devices.
Low Vision Services Eye specialists who evaluate and recommend optical devices.
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Vision Rehabilitation Services
Maine DBVI Vocational Rehabilitation Independent Living COMS, CVRT The Iris Network ApartmentsLV Clinic CVRT, LCSW, LSW, COMS Assistive Technology Low Vision 18
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How can I get these services?
Referrals How can I get these services? 19
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Early intervention works best!
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If you were visually impaired, which hallway would you rather walk down?
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The hallway on the right has better contrast.
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Contrast and Color Light and Dark Explore bold colors
Use it EVERYWHERE! Adapting what you have
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Where would you rather bathe?
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The bathroom on the right has less glare.
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Lighting and Glare Brighter is not always better
Illuminating areas vs. Illuminating tasks Controlling Glare Enhancing visibility through color
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Which stairs would you rather walk down?
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The stairs on the right have better markings.
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Hallways, Stairways and Signage
Use efficient Lighting Always use contrast Mark stairs Display jumbo printed signs
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Now that you have the tools, what changes would you make to this nursing home room?
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Remember, environmental adaptations can be simple!
Observe your residents Ask your residents Remember your tools Ask for an Environmental Assessment from The Iris Network.
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Questions and Answers 33
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Resources The American Foundation for the Blind www.afb.org
Lighthouse International National Center for Health Statistics 2006 National Eye Institute
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